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Shannon Jean, LPC

Counselor, Mental Health in Rahway, NJ. Individual provider (NPI-1).

NPI number1164034401
StatusActive
Last updated in NPPESAug 18, 2020

Details

NPI
1164034401
Entity type
Individual (NPI-1)
Name
Shannon Jean
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 18, 2020
Certification date
Aug 18, 2020
Last updated
Aug 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health37PC00701200NJYes
225600000X Dance Therapist––

Practice location

1819 Rutherford St
Rahway, NJ 07065-5217

Phone 908-472-3917

Mailing address

1819 Rutherford St
Rahway, NJ 07065-5217

Phone 908-472-3917

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